Would testing for ATTR cardiac amyloidosis be considered in an older patient with bilateral carpal tunnel surgeries and multiple spinal stenosis surgeries, but no obvious cardiac symptoms?
Answer from: at Academic Institution
I would not look for ATTR-CM in the absence of cardiac findings such as abnormal echo (increased LV thickness) or conduction abnormalities that are suggestive.
Only 10% of patients with bilateral CTS have ATTR-CM.
I would do an echo if not done and review ECG.
As much as we are concerned about un...
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